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SI-BONE, Inc. — Director's Dealing 2021
Jun 14, 2021
32647_dirs_2021-06-14_d6196d6f-6945-4c24-9c96-23dbeec9fe21.zip
Director's Dealing
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SEC Form 4 — Statement of Changes in Beneficial Ownership
Issuer: SI-BONE, Inc. (SIBN)
CIK: 0001459839
Period of Report: 2021-06-10
Reporting Person: Freund John Gordon (N/A)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2021-06-10 | Common Stock | A | 3848.00 | $0.00 | Acquired | 12645.00 | Direct |
Holdings (Non-Derivative)
| Security | Shares | Ownership |
|---|---|---|
| Common Stock | 100750.00 | Indirect |
| Common Stock | 383458.00 | Indirect |
Footnotes
F1: Reflects shares issuable on the settlement of restricted stock units granted to the Reporting Person. Each restricted stock unit represents a
contingent right to receive one share of the Issuer's common stock. The shares subject to the restricted stock unit will be vesting 100% upon
the earlier of (i) the next annual general meeting of the stockholders of the Company or (ii) the date one year from the Vesting
Commencement Date, subject to the Reporting Person's continuous service as a member of the Company's Board of Directors until such
date.
F2: Includes 3,848 shares issuable on the settlement of restricted stock units granted to the Reporting Person. Each restricted stock unit
represents a contingent right to receive one share of the Issuer's common stock.
F3: Shares held by John Freund Family Partnership IV, L.P. ("Family LP"). Reporting Person, a member of Issuer's board of directors, is a general
partner of Family LP and may be deemed to have voting and investment power with respect to the securities held by Family LP. Reporting
Person disclaims beneficial ownership of such securities, except to the extent of his pecuniary interest therein.
F4: Shares held by SVP V. Skyline Venture Management V, LLC ("LLC") is the general partner of SVP V and as such may be deemed to have
voting and investment power with respect to the securities of SVP V. Reporting Person, a member of Issuer's board of directors, is a managing director of LLC and may be deemed to have voting and investment power with respect to the securities held by SVP V. Reporting Person disclaims beneficial ownership of such securities, except to the extent of his pecuniary interest therein.